Individual
BRAD PRALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8014 BETHEL RD, ARPIN, WI 54410-9558
(715) 652-2103
Mailing address
13302 43RD AVE, CHIPPEWA FALLS, WI 54729
(715) 579-0666
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2198-19
WI
Other
Enumeration date
10/15/2014
Last updated
10/15/2014
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